Evidence map›Paper›PMID 28957876›Full record

ArticleShock (Augusta, Ga.)2018

Xiphoid Surface Temperature Predicts Mortality in a Murine Model of Septic Shock.

Orlando Laitano, David Van Steenbergen, Alex J Mattingly, Christian K Garcia, Gerard P Robinson, Kevin O Murray, Thomas L Clanton, Elizabeth A Nunamaker

Open access · greenAbstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. The poikilothermic hypothesis of sepsis.Critical care (London, England) · 2026
    Review
  4. Article
  5. Article
  6. A Preclinical Model of Sepsis-Induced Myopathy with Disuse in Mice.Journal of visualized experiments : JoVE · 2024
    Article
  7. Article
  8. Article
  9. Common Variables That Influence Sepsis Mortality in Mice.Journal of inflammation research · 2023
    Article
  10. Neuromotor deficits and altered physiological responses to repeated exertional heat stroke exposures in mice.American journal of physiology. Regulatory, integrative and comparative physiology · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Orlando LaitanoDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida.
David Van SteenbergenDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida.
Alex J MattinglyDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida.
Christian K GarciaDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida.
Gerard P RobinsonDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida.
Kevin O MurrayDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida.
Thomas L ClantonDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida.
Elizabeth A NunamakerAnimal Care Services, University of Florida, Gainesville, Florida.
University of Florida · US

Funding

Functional Role of Skeletal Muscle in the Innate Immune to SepsisR01GM118895 · NIGMS · UNIVERSITY OF FLORIDA · PI CLANTON, THOMAS LINDSAY · 2016 to 2019
$1.3M
NIGMS NIH HHS R01 GM118895
6 · The paper itself

Abstract

Sepsis continues to be a major challenge for modern medicine. Several preclinical models were developed to study sepsis and each has strengths and weaknesses. The cecal slurry (CS) method is a practical alternative because it does not require surgery, and the infection can be dosed. However, one disadvantage is that the dosage must be determined for each CS preparation using survival studies. Our aim was to refine a survival protocol for the CS model by determining a premonitory humane endpoint that would reduce animal suffering. Mice become hypothermic in sepsis; therefore, we tested whether reductions in surface temperature (Ts), measured by noninvasive infrared thermometry, could predict eventual death. We injected 154 C57BL/6J mice with CS (0.9-1.8 mg/g) and periodically monitored Ts at the xiphoid process over 5 days. We used, as predictors, combinations of temperature thresholds (29°C -31°C) and times, postinjection (18-36 h). A receiver-operator curve, sensitivity, and specificity were determined. A Distress Index value was calculated for the threshold conditions. The optimum detection threshold (highest Youden index) was found at Ts ≤ 30.5°C at 24 h (90% specific, 84% sensitive). This threshold condition reduced animal suffering by 41% while providing an accurate survival rate estimate. Using this threshold, only 13 of 154 mice would have died from sepsis; 67 would have been euthanized at 24 h, and only 7 of 154 would have been euthanized unnecessarily. In conclusion, using a humane endpoint of Ts ≤ 30.5°C at 24 h accurately predicts mortality and can effectively reduce animal suffering during CS survival protocols.

Indexed as

Body TemperatureHypothermiaAnimalsDisease Models, AnimalFemaleMaleMicePredictive Value of TestsShock, SepticXiphoid Bone

Identifiers

PMID28957876
PMCPMC5871531
OpenAlexW2758078533

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.